Medication non-adherence is one of a common problem in asthma management and it is the main factor for uncontrolled asthma. It can result in poor asthma control, which leads to decreased quality of life, increase hospital admission, increased health care utilization, lost productivity, and mortality. To date, there have been no studies and protocols that estimated the pooled national prevalence of non-adherence to inhaled anti-asthmatic medications in Ethiopia. Therefore, the primary purpose of this systematic review and meta-analysis is to determine the pooled national prevalence of non-adherence to inhaled medications among asthmatic patients in Ethiopia.
Different database searching engines including PubMed, Scopus, Google Scholar, Africa journal online, World Health Organization afro library, and Cochrane review were systematically searched by using keywords such as "prevalence, non-adherence to inhaled medications, inhaled corticosteroids, and asthmatic patients" and their combinations. Six publishedon-adherence to inhaled anti-asthmatic medications was high. Thus, our finding suggests that one out of four asthmatic patients were non-adherent to inhaled medications. The ministry of health, health policymakers, clinicians, and other health care providers should pay attention to strengthening the adherence levels to inhaled anti-asthmatic medications, and country-based interventions should be developed to reduce the burden of non-adherence to inhaled anti-asthmatic medications.
the prevalence of non-adherence to inhaled anti-asthmatic medications was high. Thus, our finding suggests that one out of four asthmatic patients were non-adherent to inhaled medications. The ministry of health, health policymakers, clinicians, and other health care providers should pay attention to strengthening the adherence levels to inhaled anti-asthmatic medications, and country-based interventions should be developed to reduce the burden of non-adherence to inhaled anti-asthmatic medications.An empathic approach to patient-centred care is a core of nursing practice. One of the methods to develop empathy, which is gaining currency is the use of virtual reality simulations in education. This paper posits some questions, does it simply reinforce a 'type' of patient, neglecting caring for the patient as unique, is empathy what results or is it pity, does it result in a greater distance being created between the patient and the health care provider? Can we ever really know what it is like to walk in a patient's shoes when what we experience through virtual reality provides a small snapshot of the vicissitudes of living with an illness or disability. https://www.selleckchem.com/products/ulonivirine.html We suggest that what matters most in simulations using virtual reality is how the student exits the experience and if they leave knowing just what patients 'like that' feel, or whether they leave with humility and curiosity.The study aimed to describe coordinated care planning via a video meeting from the perspective of older persons and their relatives.
A qualitative inductive research design was used to describe older persons and relatives' experience of care planning via video meeting.
Eight unstructured interviews were conducted. Purposive sampling resulted in a sample of four older persons and four relatives. The material was analysed by qualitative content analysis.
The theme being excluded illustrates how the older persons and their relatives experienced care planning via a video meeting as lack of a personal relationship, meaninglessness and lack of participation. The older persons and their relatives had a feeling of being excluded and in an unfamiliar situation. Lack of information about the meeting's structure and content impaired their ability to prepare for it beforehand, which led to uncertainty.
The theme being excluded illustrates how the older persons and their relatives experienced care planning via a video meeting as lack of a personal relationship, meaninglessness and lack of participation. The older persons and their relatives had a feeling of being excluded and in an unfamiliar situation. Lack of information about the meeting's structure and content impaired their ability to prepare for it beforehand, which led to uncertainty.To describe the associations between health literacy, social support and self-care behaviours in older adults with heart failure.
A cross-sectional descriptive study.
A total of 252 older adults were recruited from a tertiary care hospital from September 2018-February 2019. Structured questionnaires and medical record reviews were used for data collection.Two steps of hierarchical regression analysis were employed to determine the predictors of self-care behaviours.
Health literacy (=0.27, &lt;.001) and social support (=0.32, &lt;.001) were significant determinants of self-care behaviours in older adults with heart failure. Together, they explained 22% of the variance in self-care behaviours.
Health literacy and perceived social support were positively associated with self-care behaviours among older heart failure patients. Our findings can help health professionals develop heart failure self-care interventions to enhance health literacy skills and social support for older adults.
Health literacy and perceived social support were positively associated with self-care behaviours among older heart failure patients. Our findings can help health professionals develop heart failure self-care interventions to enhance health literacy skills and social support for older adults.Early cancer diagnosis is necessary to improve survival rates. The aim of this study was to assess the outcome and cost of the childhood cancer training programme amongst healthcare workers.
This was a prospective pre-post study design, using questionnaires for pre- and post-training testing. The warning signs of childhood cancer were used as the main teaching content to improve recognition and early diagnosis.
Pre-training and post-training knowledge, as well as attitude questionnaires, was administered at the beginning and at the end of each training workshop. Paired samples test and chi-square were used to compare the change in knowledge and differences between groups.
The overall percentage knowledge score increased from 51%-85% (&lt;.001). The doctors had a better knowledge score than the nurses in the pre-test (70% versus 50%, =.008), but there was no significant difference in the post-test scores. The cost of training was ?25.06 per healthcare worker.
We recommend similar training programmes in public health to improve early diagnosis of childhood cancer.